Key result
Emergency surgery involving a simple suture of a left anterior descending artery laceration was required to treat acute delayed pericardial tamponade in a 32-year-old man after a stab wound.
Case Report (n=1)
Delayed pericardial tamponade can occur after penetrating heart trauma despite an initially uneventful course, requiring emergency surgical intervention.
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Clinicians should monitor for delayed tamponade after penetrating cardiac injury despite initial stability; leaves open optimal surveillance protocols.
Delayed pericardial tamponade (PT) after penetrating heart trauma is now a rare condition as a result of advances in medical and surgical management. We report the case of a 32-year-old man with delayed PT after a stab wound from a knife. The initial evaluation was consistent with a traumatic apical myocardial infarction. After an uneventful initial course, the patient developed acute PT, which required emergency surgery. A thrombus was discovered over a laceration in the mid-segment of the left anterior descending artery and a simple suture was performed.
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quez et al. (2005) conducted a case report in Delayed pericardial tamponade (n=1). Emergency surgery (simple suture) was evaluated. Emergency surgery involving a simple suture of a left anterior descending artery laceration was required to treat acute delayed pericardial tamponade in a 32-year-old man after a stab wound.
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